Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 21380 | NH |
Y | 207K00000X | Allergist & Immunologist | 287100 | MA |
NPI | 1134583560 |
---|---|
Provider Name | Elizabeth Yakaboski |
First Address | Chelmsford, MA 01824-2712 |
Second Address | Chelmsford, MA 01824-2712 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2016 |
Last Update Date | 11/06/2021 |